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Deficiency Records for Westside Retirement Village
A list of the most recent deficiencies for Westside Retirement Village. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Westside Retirement Village. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-06-28 | 2024-07-24 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-04-17 | 2024-05-15 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-17 | 2024-05-15 | Y |
Implement emergency and standby power systems. | Fire Safety | 2024-01-02 | 2024-01-19 | N |
Meet other general requirements that are deficient. | Fire Safety | 2024-01-02 | 2024-01-19 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-02 | 2024-01-19 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-02 | 2024-01-19 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-02 | 2024-01-19 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-01-02 | 2024-01-19 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-02 | 2024-01-19 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-04 | 2024-01-04 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-12-04 | 2024-01-04 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-12-04 | 2024-01-04 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-12-04 | 2024-01-04 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-04 | 2024-01-04 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-04 | 2024-01-04 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-04 | 2024-01-04 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-04 | 2024-01-04 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-12-04 | 2024-01-04 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-04 | 2024-01-04 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-12-04 | 2024-01-04 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-04 | 2024-01-04 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-12-04 | 2024-01-04 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-04 | 2024-01-04 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-12-04 | 2024-01-04 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-04 | 2024-01-04 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-12-04 | 2024-01-04 | N |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-12-04 | 2024-01-04 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-04 | 2024-01-04 | N |
Provide and implement an infection prevention and control program. | Health | 2023-12-04 | 2024-01-04 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-04 | 2024-01-04 | N |
Keep all essential equipment working safely. | Health | 2023-12-04 | 2024-01-04 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-12-04 | 2024-01-04 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-04 | 2024-01-04 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-12 | 2023-11-03 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-12 | 2023-11-03 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-12 | 2023-11-03 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-12 | 2023-11-03 | Y |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-12 | 2023-11-03 | Y |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-04-11 | 2023-04-28 | Y |
Meet other general requirements that are deficient. | Fire Safety | 2022-10-05 | 2022-10-23 | N |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-10-05 | 2022-10-23 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-05 | 2022-10-23 | N |
Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2022-10-05 | 2022-10-23 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-01 | 2022-10-01 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-01 | 2022-10-01 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-01 | 2022-10-01 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-09-01 | 2022-10-01 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-09-01 | 2022-10-01 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-01 | 2022-10-01 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-01 | 2022-10-01 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-01 | 2022-10-01 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-01 | 2022-10-01 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-01 | 2022-10-01 | N |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-09-01 | 2022-10-01 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-09-01 | 2022-10-01 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-01 | 2022-10-01 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-01 | 2022-10-01 | N |
Provide and implement an infection prevention and control program. | Health | 2022-09-01 | 2022-10-01 | N |
Ensure that residents are free from significant medication errors. | Health | 2022-09-01 | 2022-10-01 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-20 | 2022-02-10 | Y |
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-10-20 | 2021-11-05 | Y |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-08-18 | 2021-10-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-18 | 2021-10-08 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-18 | 2021-10-08 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-18 | 2021-10-08 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-18 | 2021-10-08 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-18 | 2021-10-08 | N |
Ensure gas cylinders are properly stored. | Fire Safety | 2021-08-18 | 2021-10-08 | N |
Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2021-08-18 | 2021-10-08 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-18 | 2021-10-08 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-18 | 2021-10-08 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-18 | 2021-10-08 | N |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-08-18 | 2021-10-08 | N |
Meet other general requirements. | Fire Safety | 2021-08-18 | 2021-09-05 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-06 | 2021-08-30 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-08-06 | 2021-08-30 | N |
Ensure each resident receives an accurate assessment. | Health | 2021-08-06 | 2021-08-30 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-08-06 | 2021-08-30 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-08-06 | 2021-08-30 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-06 | 2021-08-30 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-06 | 2021-08-30 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-06 | 2021-08-30 | N |
Provide and implement an infection prevention and control program. | Health | 2021-08-06 | 2021-08-30 | N |
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